1. 1 Future regulation of NHS commissioned services post- Francis Ann Farenden 14 th October 2013

2. 2 Our purpose and role Our purpose We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve Our role We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find, including performance ratings to help people choose care We will be strong, independent, expert inspectorate that is always on the side of people who use services

3. 3 Asking the right questions about quality and safety Is the care: Safe? Effective? Caring? Responsive to people’s needs? Well-led?

4. 4 Our new approach Surveillance

5. 5 A more rigorous test to deliver safe, effective, compassionate, high- quality care Registration Legally binding Named leaders held accountable

6. 6 Surveillance Continuous monitoring to identify failures and risk of failure “Smoke alarms” Use local and national information sources Use qualitative information from people Surveillance

7. Expert inspections 7 Chief Inspectors of Hospitals, Social Care, and General Practice Expert inspection teams Longer inspections, more time talking to people Intelligence used to decide when, where and what to inspect Inspectors using professional judgement

8. Clear standards 8 Three levels: Fundamentals of care Expected standards of care High-quality care. By law services must meet fundamentals of care and expected standards

9. 9 Ratings to help people choose between services and to encourage improvement Ratings for providers, and for separate services as well? Ratings for each question? o Safe o Effective o Caring o Responsive to people’s needs o Well-led Ratings

10. 10 Timeline Sep 2013 Oct 2013 Dec 2013 Apr 2014 Dec 2015 -- 2014/15 -- Start inspections of acute hospitals under new approach -- 2015/16 -- Department of Health consultation on amends to regulations CQC consultation focusing on changes to the acute hospital model New regulations and registration requirements become law Changes to inspections of adult social care, and mental health and learning disability services. Includes ratings Changes to inspections of community healthcare and ambulance trusts. Includes ratings

11. Inspections of acute hospitals 11

12. 12 Inspection teams National and local inspection teams led by Chief Inspector of Hospitals, Professor Sir Mike Richards Will include clinical and other experts, and trained members of the public Teams will be larger than they are now

13. 13 Focus of inspections Is the care safe, effective, caring, responsive to people’s needs and well-led? Inspections will look at eight key service areas and others if necessary Will use new surveillance indicators After the inspections we will hold Quality Summits with local partners to discuss inspection findings/improvement action needed

14. 14 Listening events Will be held at the beginning of each inspection Local people invited to share their views/experiences of their hospital with the inspection panel

15. 15 Get involved Find out more at www.cqc.org.ukwww.cqc.org.uk Join our provider reference group and online community at www.cqc.org.uk/prgwww.cqc.org.uk/prg Sign-up for our e-bulletin at www.cqc.org.uk/newsletter